# MEDICAL DIAGNOSTIC LABORATORIES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700273315
- **Authorized official:** DR. DAVID FREDERICK JENSEN M.D. (PATHOLOGIST/DIRECTOR)
- **Authorized official phone:** (209) 406-8938

## Contact information

- **Practice address:** 385 WOODVIEW AVE, SUITE \# 175, MORGAN HILL, CA 95037-2891
- **Practice address phone:** (209) 406-8938
- **Practice address fax:** (408) 636-7021
- **Mailing address:** 385 WOODVIEW AVE, SUITE \# 175, MORGAN HILL, CA 95037-2891
- **Mailing address phone:** (209) 406-8938
- **Mailing address fax:** (408) 636-7021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | G54073 | CA | Yes |

## Other

- **Enumeration date:** 04/21/2015
- **Last updated:** 04/21/2015